Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01308 | Date 24/09/2018 |
| Token No | SM/19-20/13344 16/11/2019 | Serial | 004 Last Visit: 04/12/2019 |
| Patient Name | Mr. PRADIP DUTTA | Contact No | |
| Address | 36 CHATRA DUTTA PARA, SERAMPORE | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||